Miles C Anderson, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME81063 Issued in FL

Legal business name

MILES C ANDERSON, MD

Practice address

530 Zeagler Dr
Suite a
Palatka, FL 32177-6855

Phone

(386) 328-8358

Fax

(386) 325-0365

NPI assigned

Feb 23, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Miles C Anderson, MD

Title

Owner/MD

Phone

(386) 328-8358

Specialties & licenses 1

Addresses

Other identifiers 2

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1424649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424649600000",
    "number": "1609268077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 ZEAGLER DR",
            "address_2": "SUITE A",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321776855",
            "telephone_number": "386-328-8358",
            "fax_number": "386-325-0365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 ZEAGLER DR",
            "address_2": "SUITE A",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321776855",
            "telephone_number": "386-328-8358",
            "fax_number": "386-325-0365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILES C ANDERSON, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-23",
        "last_updated": "2015-02-23",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "MILES",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/MD",
        "authorized_official_telephone_number": "386-328-8358",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME81063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1164403689",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "259553200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sherry D. Michael, LPN
• Miguel Dejuk, PC
• Lori H. Milam
• John C Milanick, M.D.
• Rosalie J. Milano, CRNA
• Dawn Shepherd Miles, DPM
• Seth Miles, PT, DPT
• Amber Lee Miller
• Mindful Grace Wellness LLC
• Nicholas Mishler

• Internal Medicine Physician in Palatka, FL
• Providers in Palatka, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.